Boil a large pot of salted water; cook the pasta until al dente. While the pasta is cooking, place a large skillet over medium heat. Add the to the pan and sauté the onion until soft. Add the sausage and garlic to the pan and sauté until golden brown. Add the tomato and chili flakes and simmer until the tomatoes break down. Stir in the cream and season with salt and pepper. Add the pasta and basil to the pan and toss to coat.

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